Kristin Bothwell, LICSW
Kristin Bothwell, LICSW is a Clinical Social Worker in Peterson Space Force Base, Colorado. Qualified in 2009, 17 years ago. Licensed in California and Massachusetts.
- Years since qualifying
- 17
- Licensed in
- CA, MA
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
NEXT-559 Vincent St Spc Base Delta 1Peterson Space Force Base, CO 80914-0000
Phone: (617) 413-6275
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 96216 (CA) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 116933 (MA) |
Record details
| NPI number | 1417123191 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | May 2, 2008 |
| Last updated in NPPES | September 20, 2023 |
| Certification date | September 19, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Peterson Space Force Base
-
Mrs. Cynthia Ann Miller Wyatt, LCSW
100 W ENT Ave Bldg 725, Peterson Space Force Base, CO 80916 · (719) 556-8943